| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $986.24 | $986.24 | $1,232.80 | |
Lucent Health
| Facility | $11,500.00 | $26,542.00 | $26,542.00 | |
Lucent Health
| Professional | $2,962.34 | $2,962.34 | $2,962.34 | |
Oscar Health
| Professional | $570.40 | $570.40 | $570.40 |